Healthcare Provider Details

I. General information

NPI: 1720024896
Provider Name (Legal Business Name): REGIONAL HEALTH NETWORK INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 CHARLES ST
DEADWOOD SD
57732-1303
US

IV. Provider business mailing address

PO BOX 3450
RAPID CITY SD
57709-3450
US

V. Phone/Fax

Practice location:
  • Phone: 605-722-6101
  • Fax:
Mailing address:
  • Phone: 605-722-6101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number10535
License Number StateSD

VIII. Authorized Official

Name: RICHARD GIESEL
Title or Position: CEO RHN VP NETWORKING
Credential:
Phone: 605-719-8706